Community Health Workers Training Providers

• Create or expand CHW Core Competency Training offerings that meet the criteria established by the National Council on CHW Core Consensus Standards and/or Indian Health Services Community Health Representative Online Training.
• Coordinate training offerings with the Wisconsin CHW workforce to align with statewide training standards that will be established through the Medicaid CHW reimbursement benefit.
• Establish a curriculum delivery plan that allows learning to take place in a variety of formats (e.g., in-person, virtual, language options, and cultural considerations).
• Establish post training plan for CHW participants that supports ongoing coaching and mentorship.
• Develop a process or platform for documenting CHW Core Competency Training completion.

• Create or expand CHW Supervisor Training offerings.
• Coordinate training offerings to ensure alignment with established statewide CHW Supervisor peer groups for ongoing learning, resources, and support.
• Establish curriculum delivery plan that allows learning to take place in a variety of formats (e.g., in-person, virtual, language options, and cultural considerations).
• Establish post training plan for CHW Supervisor and employer participants that supports team integration with CHW staff.
• Incorporate best practices and resources from National CHW Center for Research and Evaluation Common Indicators for program development and sustainability.
• Align training with the Designing a Comprehensive CHW Program, P-03746 (PDF) and/or the Community Health Alignment CHW Healthcare Integration Toolkit.

• Staff time related to:
  • Planning, coordinating and implementing the project
  • Participating in statewide CHW workforce meetings
  • Curriculum development and enhancement that includes CHW leadership and subject matter experts
  • Training curriculum development and training delivery
  • Recruitment and training retention strategies
  • Coaching and post-training support
  • Assessment, quality improvement, and evaluation of training programs
• Meeting expenses related to the project: meeting room, audiovisual (AV) equipment, travel, speakers, etc.
• Infrastructure to support quality CHW, or CHW Supervisor Training programs, such as administrative support, technology and communication platforms
• Travel related to the project
• Program evaluation
• Office supplies, postage, copying, etc. related to the project
• Consultant and contract services needed to implement the project

• Pre-award costs
• Direct or indirect lobbying activities
• Duplicate payments: Funds may not be used to replace payment for clinical services that could be reimbursed by insurance
• Clinician salaries or wage supports for facilities that subject clinicians to non-compete contractual limitations
• Replacing or duplicating existing funding sources. For example, if funds are used for expanding an existing pilot program or initiative, funds may only be applied to the costs associated with the new population, new activities, new program milestones, etc. The original program's programmatic costs, administrative expenses, and activities must continue to be funded by those original sources.
• Costs or activities not directly related to the overall project description and scope of work
• Independent research and development, including associated indirect costs in accordance with 2 CFR 300.477
• Construction or building expansion, purchasing or significant retrofitting of buildings, cosmetic upgrades, or any other cost that materially increases the value of the capital or useful life as a direct cost
• Meals, unless in limited circumstances such as subjects and patients under study, if specifically approved as part of the project or program activity, or as part of a per diem in conjunction with allowable travel
• Projects outside of Wisconsin

No more than 8% of the award amount may be used for administrative expenses. This is based on CMS requirements: a 10% cap is applied to the cumulative administrative costs for the entire program, including those incurred by both the State and any subrecipients.

Personnel costs associated with administering RHTP grant activities may be considered administrative costs. In contrast, if staff are directly carrying out program initiatives, the cost may be considered programmatic.

Administrative costs support the day-to-day operations and general grant oversight. These costs generally include indirect costs, audit expenses, and salary and fringe benefits for personnel whose primary responsibilities involve managing, tracking, and overseeing the grant.

More information is available in the Addendum Exhibit 3: Budget Instructions.

Under federal grant regulations, alteration and renovation must be necessary and reasonable for performance of the award and directly related to program objectives. Any renovation or alteration costs will require prior approval from CMS. RHTP staff will submit required renovations requests to CMS for approval on behalf of grantees prior to purchase or start of work. Renovations may not proceed until written approval is received. Additionally, no more than 20% of the total award can be spent on minor alterations and renovations.

See Exhibit 2: Federal Compliance Requirements for more information.

1. Name and address of lead organization applying
2. Contact information for who will serve as the primary point of contact regarding this application.
   1. First Name
   2. Last Name
   3. Email
3.  Counties or Tribal Nations where services will be provided for this project
4. Provide a brief executive summary of your project (maximum 100 words). This section is not scored.

Section 1: Experience and knowledge (Maximum 1500 words)

Describe how the proposed project will meet the purpose of this funding opportunity, including: 

Alignment with program goals

CHW Core Competency Training

• Describe your organization’s experience with delivering CHW Core Competency Training curriculum development including history of program administration and delivery, number of training cohorts, data showing impact and outcomes of training, current partnerships, training platforms, tools, and techniques used to reach and engage various CHW learners.
• Provide examples of training and professional development opportunities your organization has provided or facilitated including topic and method of training delivery (virtual, in-person, small group, interactive, webinar, etc.).

CHW Supervisor, Employer, and Organizational Training

• Describe your organization’s experience with delivering CHW Supervisor Training curriculum development including partnerships, training platforms, tools, and techniques used to reach and engage various learners.
• Provide examples of training and professional development opportunities your organization has provided or facilitated including topic and method of training delivery (virtual, in-person, small group, interactive, webinar, etc.).

Section 2: Training curriculum design and implementation (Maximum 2500 words)

Describe how the proposed project will meet the goals of this funding opportunity, including:

Proposed initiatives and implementation

CHW Core Competency Training

• Describe the CHW Core Competency curriculum design and development process. Include your organization’s plan for involving CHWs in developing the training curriculum and training delivery. If your organization already has an established CHW Core Competency curriculum, describe your organization’s process for enhancing these practices to engage CHWs in the curriculum review and training delivery.
• Describe how your organization’s CHW Core Competency training will meet the criteria established by the National Council on CHW Core Consensus Standards (C3).
• Describe your approach for recruiting participants into training cohorts including how your organization will center CHW lived experience.
• Describe your training curriculum, including anticipated number of CHWs per cohort, time commitment, participant eligibility and vetting process, and participant expectations for completing the training.
• Describe how you will provide post-training support and assistance to the graduates of the training program.

CHW Supervisor, Employer, and Organizational Training

• Describe the CHW Supervisor training curriculum including anticipated number of participants per cohort, time commitment, participant eligibility and vetting process, and participant expectations for completing the training.
• Describe your plan for developing new or expanding existing CHW Supervisor training offerings.

Section 3: Sustainability, evaluation plan, and data collection (Maximum 1500 words) 

CHW Core Competency Training

• Include a sustainability plan describing how the proposed services could be maintained beyond the grant period. As appropriate to the size and scope of the project, applicants may include details such as potential state or federal funding, partnerships, or operational approaches that would support program continuation.
• Applicant should describe how the CHW Core Competency training offerings will align with the Wisconsin CHW workforce Curriculum and Training Committee efforts to establish statewide training and credentialing standards.
• Describe the evaluation methods that will be used to assess the effectiveness and impact of CHW Core Competency and CHW Supervisor training, including frequency of data collection and the evaluation tools used.
• Describe barriers that may impact how the anticipated training program is developed and implemented.
• Describe the process for documenting or tracking CHW Core Competency training completion among cohort participants including platforms and tools utilized.

CHW Supervisor, Employer, and Organizational Training

• Include a sustainability plan describing how the proposed services could be maintained beyond the grant period. As appropriate to the size and scope of the project, applicants may include details such as potential state or federal funding, partnerships, or operational approaches that would support program continuation.
• Provide examples of how you intend to align CHW Supervision training with Wisconsin and national best practices for CHW onboarding, organizational readiness, and CHW integration.
• Describe the evaluation methods that will be used to assess the effectiveness of training from CHWs, including frequency.
• Describe barriers that may impact how the anticipated training program is developed and implemented.

Section 4: Personnel and institutional capacity (Maximum 1,000 words) 

Describe the organization’s capacity to implement the proposed project. Applicants must:

• Describe the organizational and/or team structure and institutional environment/resources, specifically as related to program goals.
• Describe the organizational readiness for developing or expanding CHW Core Competency and CHW Supervisor training.
• Describe staffing, including new or existing positions and anticipated full-time equivalents as well as CHW involvement in staffing or advisory capacities.
• If hiring new staff, describe the recruitment process and timeline.
• Explain how the project will continue in the event of staff turnover.
• Describe the role of each partner in achieving project goals. Include at least two Letters of Support from key partners. Upload Letter of Support documents as within the application form.
• If subcontractors are used, describe their roles, responsibilities, and how they will be managed and monitored. 

Section 5: Budget

Complete the Community Health Workers Training Providers Budget Template (Excel) with proposed expenditures for year one. Include a brief justification for the amounts you entered for each item. This should include how you arrived at the dollar amount requested for the expense. Example: Personnel: $10,000; Personnel Justification: Personnel is calculated based on a 0.20 FTE Coordinator at $24.04/hour = $10,000.

• Personnel: Describe your personnel expenses for this project. If none, mark N/A.*
• Fringe: Describe your fringe expenses. If none, mark N/A.
• Travel: Describe travel expenses (transportation, lodging, per diem, etc.) for this project. If none, mark N/A.
• Contractual Services: Describe any contractual partners you will fund for this project. If none, mark N/A.
• Equipment: Describe any equipment purchases that will be made for this project. Equipment is defined as having a per-unit cost over $10,000 and requires approval from CMS. If none, mark N/A.
• Supplies: Describe your supply costs for this project. If none, mark N/A.
• Other: Describe any other costs associated with this project. If none, mark N/A.
• Indirect: Describe costs incurred for a common or joint purpose benefiting more than one cost objective and not readily assignable to the cost objectives specifically benefitted. Limited to 8% of the total award amount. If none, mark N/A.

The budget template and Addendum Exhibits 2 and 3 (Federal Compliance Requirements and Budget Instructions) can be used as a guide when developing your budget and justification.